Active NPI
Osolo Emergency Medical Services Inc
- Land Ambulance
- Elkhart, IN
National Provider Identifier
1700911591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0166
- Legal business name
- OSOLO EMERGENCY MEDICAL SERVICES INC
- Practice address
- 25600 County Road 4
Elkhart, IN 46514-5947 - Phone
- (574) 262-3052
- Fax
- (574) 262-8672
- NPI assigned
- Feb 22, 2007
- Last updated
- Sep 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Julie A Calloway, PARAMEDIC
- Title
- Assist Director/Billing Coordinator
- Phone
- (574) 262-3052
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0166 | IN | Primary |
Addresses
Primary practice location
25600 County Road 4
Elkhart, IN 46514-5947
Mailing address
25600 County Road 4
Elkhart, IN 46514-5947
Phone (574) 262-3052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091006000471 | IN | Part B Supplier - Ambulance Service Supplier | 3173669124 | Practice locations: Elkhart, IN |
National Provider Directory
National Provider DirectoryLocations
25600 County Road 4
Elkhart, IN 46514
Phone (219) 262-3052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252022400000",
"number": "1700911591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25600 COUNTY ROAD 4",
"city": "ELKHART",
"state": "IN",
"postal_code": "465145947",
"telephone_number": "574-262-3052",
"fax_number": "574-262-8672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25600 COUNTY ROAD 4",
"city": "ELKHART",
"state": "IN",
"postal_code": "465145947",
"telephone_number": "574-262-3052",
"fax_number": "574-262-8672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OSOLO EMERGENCY MEDICAL SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2009-09-04",
"status": "A",
"authorized_official_last_name": "CALLOWAY",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ASSIST DIRECTOR/BILLING COORDINATOR",
"authorized_official_telephone_number": "574-262-3052",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PARAMEDIC"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IN",
"license": "0166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkhart, IN
- Melitza Ortega
- Orthopedic and Sports Medicine Center of Northern Indiana, Inc (Osmc)
- Orthopedic and Sports Medicine Center of Northern Indiana, Inc (Osmc)
- Christina Ortiz
- Natalie Ortiz
- Osolo Fire & EMS Inc.
- Osolo Occupational Medicine PC
- Mia Osoria
- Ossip Optometry, P.C (C & B Optical One)
- Myra J. Oswald, ANP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.